National Provider Identifier [NPI]: |
1790010643 |
Last Name Of The Provider |
WRIGHT |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MSN, FNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
744 MIDDLE CREEK RD |
Street Address 2 Of The Provider |
STE 108 |
City Of The Provider |
SEVIERVILLE |
Zip Code Of The Provider |
378625015 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
861 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
125666.75 |
Total Medicare Allowed Amount |
55013.93 |
Total Medicare Payment Amount |
42756.18 |
Total Medicare Standardized Payment Amount |
52584.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
90 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
11039.75 |
Total Drug Medicare AllowedAmount |
5334.6 |
Total Drug Medicare PaymentAmount |
5207.52 |
Total Drug Medicare Standardized Payment Amount |
5207.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
771 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
114627 |
Total Medical Medicare Allowed Amount |
49679.33 |
Total Medical Medicare Payment Amount |
37548.66 |
Total Medical Medicare Standardized Payment Amount |
47376.58 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
126 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
74 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.8238 |